Fat graft versus muscle graft in treatment of non-intentional lumbosacral dural tears / Tarek Mohamed Abdelaziz Mahmoud ; Supervised Mohamed Hamdy Elsissy , Ahmed Elfiki , Ahmad Hamdy Ashry

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Tarek Mohamed Abdelaziz Mahmoud

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TextLanguage: English Publication details: Cairo : Tarek Mohamed Abdelaziz Mahmoud , 2018Description: 94 P. : charts , facsimiles ; 30cmOther title:

المقارنة بين الرقعة الدهنية و العضلية في علاج القطع الغير المقصود للآم الجافية العصعصية القطنية [Added title page title]

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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery Summary: Background : Dural tear is a common incidental problem in spine laminectomy surgery, which can be a serious complication. Dural sutures and adjuvant techniques such as gel foam, fibrin glue, muscle graft, and recently fat graft are used to prevent the continuation of cerebrospinal fluid (CSF) leak and other possible complications. We aimed to evaluate the obtained results of fat and muscle graft usage in dural tear repair.Methods: We have studied these techniques in 30 patients with incidental dural tears during laminectomy surgeries. After sutures, fat and muscle grafts were placed and packed completely over the tear and the exposed dura and then were fixed. The results were compared between those patients in whom fat graft was used at the time of surgery for dural repairing (n=15) and those in whom muscle graft was used (n=15).Results: We observed significant differences in the length of stay between those patients with fat and muscle grafts at the time of surgery for dural repairing (P=0.033). In addition, using fat graft rather than the other one reduced CSF leakage (P=0.068). Moreover, duration of postoperative CSF leak was significantly shorter in the fat graft group (P=0.083). The success rate of fat graft in the present study was 93.3%

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Holdings
Item type	Current library	Home library	Call number	Copy number	Status	Date due	Barcode
Thesis	قاعة الرسائل الجامعية - الدور الاول	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.11.20.M.Sc.2018.Ta.F (Browse shelf(Opens below))		Not for loan		01010110076941000
CD - Rom	مخـــزن الرســائل الجـــامعية - البدروم	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.11.20.M.Sc.2018.Ta.F (Browse shelf(Opens below))	76941.CD	Not for loan		01020110076941000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery

Background : Dural tear is a common incidental problem in spine laminectomy surgery, which can be a serious complication. Dural sutures and adjuvant techniques such as gel foam, fibrin glue, muscle graft, and recently fat graft are used to prevent the continuation of cerebrospinal fluid (CSF) leak and other possible complications. We aimed to evaluate the obtained results of fat and muscle graft usage in dural tear repair.Methods: We have studied these techniques in 30 patients with incidental dural tears during laminectomy surgeries. After sutures, fat and muscle grafts were placed and packed completely over the tear and the exposed dura and then were fixed. The results were compared between those patients in whom fat graft was used at the time of surgery for dural repairing (n=15) and those in whom muscle graft was used (n=15).Results: We observed significant differences in the length of stay between those patients with fat and muscle grafts at the time of surgery for dural repairing (P=0.033). In addition, using fat graft rather than the other one reduced CSF leakage (P=0.068). Moreover, duration of postoperative CSF leak was significantly shorter in the fat graft group (P=0.083). The success rate of fat graft in the present study was 93.3%

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